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Summary Statement of Contributions and Expenditures <br /> <br />Please type or print lc~oly in black ink. Pa~ 2 o{'2 <br />Candidat~ or Political Committee Name: [ Committee ID Numbs: <br />Yes for EWEB <br /> <br />[] Amendment [] 1st Pre-election [] 2nd Pre-election [] Post-election [] Scptc-inbcr Supplcincntal <br /> LOAN SU~I},~ili~Y FOR OFFiC. E USE ONLY <br />21. l%-*~inning Out~tandin§ Loans 0.00 <br /> <br />22. l~ans Received (Non-Exempt) + <br />(nnc 2) <br />23. ~ P-a~:cived (F_.xenq~t) + 0.00 <br />(tine ]4) <br />24. LO.%~S RF_.~ SUBTOTAL <br /> = 0.00 <br />(lines 21 +22+23) <br />2S. L~an Payments 0qon-~) 0.00 <br /> <br />26. Loan Payments (Excmp0 + <br />(linc ]8) <br />27. Forgiven l_z~ms + <br /> <br />28. LO.AJ~ PAYMENq~ SUB, tOTAL <br /> = 0.00 <br /> (lines 25 + 26 +27) <br />29. TOTZtJ~ O~TANDE~IG LOAd,S = 0.00 <br /> (line 24 minus linc 25) <br /> PERSOIOtI_ EXPF. I~DITURE <br />30. Beginnin§ Outstanding Pcrso~ £xpcnditurcs 0.00 <br /> (linc ~ of protons zeport) <br />31. Personal Expcnditurm + 0.00 <br /> (Accounting Poriod Total from ~ 3A) <br /> 32. PEP..SO~ ED(P~I~q~ ~AL <br /> = 0.04) <br /> <br /> 33. P~nal F_..xlxm~tu~ R~i~ fi(X) <br /> (To~d ¢xpcxtdinnes on PC 3 with ~ code R) <br /> 34. Forgiven Personal ~ + o.oo <br /> (To~al personal expenditures foq~vcn this accq~ <br /> 3~. - - STL)B'TOTAL = 0.00 <br /> (liz~s 33 + 34) <br /> 36. O~T.4d~rl)INC. P~;ll3;ONAL = 0.00 <br /> <br /> FI~ STA~ AT CLOSE OF ACCOUkrflNG PERIOD <br /> 3?. Ending Cash l~dancc 4~65.54 <br /> (tine 2O) <br /> 3~. Accoanls Receivable + 0.00 <br /> (Accountin~ Pcz~od Total from ~ 5) <br /> 39. SUI3TOr~ = 4165.54 <br /> (lines 37 + 38) <br /> 40. Tmal ~g Loans 0.00 <br /> (ti~ 29) <br /> 41. ¢Eh~,aanding Personal Expendi~ + 0.00 <br /> (ti~e 36) <br /> 42. Accoum~ Payable + 0.00 <br /> (Accounting Period Total from PC 6) <br /> 43. SUBTOTAL = 0.00 <br /> (lines 40 + 41 +42) <br /> 44. BALANCE/DEFICIT = 4165.54 <br /> (line 39 minus line 43: indicate + or - <br /> <br /> ], Pel:e~: BRite[ (name of candJdale or trea...cl~), hel~ cellifythalthe above s~atell~ut and the attached ~g Icpolls <br /> <br /> Signatm'e of candidate~r;trcas~ ~ Date signed <br /> <br /> <br />